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Curricular variations in combined baccalaureate-M.D. programs.

A W Norman1, E V Calkins

  • 1Division of Biomedical Sciences, University of California, Riverside.

Academic Medicine : Journal of the Association of American Medical Colleges
|November 1, 1992
PubMed
Summary
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Combined baccalaureate-M.D. programs evolved over three decades. Initial goals focused on acceleration and cost reduction, shifting to address physician shortages and later broadening to include humanities and biotechnology.

Area of Science:

  • Medical Education
  • Higher Education Policy

Background:

  • Combined baccalaureate-M.D. programs emerged in the 1960s.
  • These programs offered accelerated pathways to medical degrees for high school graduates.

Purpose of the Study:

  • To analyze the evolution of curricular characteristics in combined baccalaureate-M.D. programs.
  • To understand the changing objectives of these programs from 1961 to 1991-92.

Main Methods:

  • Review of curricular features across 28 U.S. medical schools.
  • Historical analysis of program objectives over three decades (1960s, 1970s, 1980s).

Main Results:

  • 1960s: Focused on acceleration, cost reduction, humanities, and attracting top students.
  • 1970s: Shifted to address national healthcare needs, emphasizing primary care physician production for underserved areas.

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  • 1980s: Broadened objectives to include humanities, community medicine, biotechnology, alongside primary care.
  • Conclusions:

    • Combined baccalaureate-M.D. programs adapted their goals to meet evolving societal and healthcare demands.
    • The programs demonstrated flexibility in curriculum and mission over time.